Higher-risk sexual behaviour among HIV patients receiving antiretroviral treatment in Ibadan, Nigeria
AbstractA stress–coping model was tested to examine the role that negative life events, coping methods, and depression might play in moderating the associations between HIV-related factors (ARV drug regimen, HIV staging and CD4 count) and higher-risk sexual behaviours of people living with HIV/AIDS. The model depicted hypothesised relationships among several characteristics of HIV-related variables, negative life events, coping behaviours and depression. One hundred and fifty-four HIV patients who were receiving antiretroviral therapy through the PEPFAR programme in Ibadan, Nigeria, responded to a questionnaire. In a hierarchical multiple regression analysis, variables were entered into the equation in the order specified a priori by the model. The results show that: (a) patients on the combined 3-drug ARV regimen were more likely to have engaged in higher-risk sexual behaviours as compared to those on a regimen of two or one ARV drugs; (b) negative life events and (c) a coping method characterised by HIV-status denial both predicted increased higher-risk-sexual-behaviour practice among the patients. The study underscores the need for continuous evaluation of the level of higher-risk-sexual-behaviour practice and associated factors, particularly among HIV/AIDS patients receiving ARV treatment.
Keywords: Africa, coping, models, negative life events, psychosocial aspects, self reporting, stress
African Journal of AIDS Research 2008, 7(1): 71–78